Effectiveness of the MULTIPAP Plus intervention in youngest-old patients with multimorbidity and polypharmacy aimed at improving prescribing practices in primary care: study protocol of a cluster randomized trial.

Background: The progressive ageing of the population is leading to an increase in multimorbidity and polypharmacy, which in turn may increase the risk of hospitalization and mortality. The enhancement of care withinformation and communications technology (ICT) can facilitate the use of prescription...

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Detalles Bibliográficos
Autores: Cura González, Isabel del, López Rodríguez, Juan Antonio, Leiva Fernández, Francisca, Gimeno Feliu, Luis A., Pico Soler, Victoria, Bujalance Zafra, María Josefa, Domínguez Santaella, Miguel, Polentinos Castro, Elena, Poblador Plou, Beatriz, Ara Bardají, Paula, Aza Pascual-Salcedo, Mercedes, Rogero Blanco, Marisa, Castillo Jiménez, Marcos, Lozano Hernández, Cristina María, Gimeno Miguel, Antonio, González Rubio, Francisca, Medina García, Rodrigo, González Hevilla, Alba, Gil Conesa, Mario, Martín Fernández, Jesús, Valderas, José M., Marengoni, Alessandra, Prados Torres, Juan Daniel, Prados Torres, Alexandra, MULTIPAP PLUS Group
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/45899
Acceso en línea:https://europepmc.org/articles/PMC9178530
https://hdl.handle.net/10578/45899
Access Level:acceso abierto
Palabra clave:Combination drug therapy
General Practice and Family Medicine
Geriatric Care
Geriatrics
Outcomes research
Primary Care Medicine
Descripción
Sumario:Background: The progressive ageing of the population is leading to an increase in multimorbidity and polypharmacy, which in turn may increase the risk of hospitalization and mortality. The enhancement of care withinformation and communications technology (ICT) can facilitate the use of prescription evaluation tools and support system for decision-making (DSS) with the potential of optimizing the healthcare delivery process.Objective: To assess the effectiveness and cost-effectiveness of the complex intervention MULTIPAP Plus, compared to usual care, in improving prescriptions for young-old patients (65-74 years old) with multimorbidity andpolypharmacy in primary care.Methods/design: This is a pragmatic cluster-randomized clinical trial with a follow-up of 18 months in health centres of the Spanish National Health System. Unit of randomization: family physician. Unit of analysis: patient.

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